Individual
MILCA ALTINEUS EJIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Mailing address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
100065
GA
Other
Enumeration date
03/25/2020
Last updated
06/11/2024
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